JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
I want to help keep Rafael working for me!
Thank you for your support – we can only be successful with your help. Fill out the form below to get involved in the campaign and/or endorse Rafael.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First and Last Name
*
Your answer
Email
*
Your answer
Address
*
Your answer
Phone
Your answer
Yes! I want to publicly endorse Rafael for Supervisor!
I would like to endorse Rafael and the campaign can use my name publicly.
No thank you
If you are an endorser, what title would you like us to use beside your name?
Your answer
Get involved in the campaign
*
Host a house party or coffee (in-person or virtual)
Request a window sign
Make calls/texts
Walk a precinct
Election Day Visibility with a Sign
Required
If you requested a window sign, please let us know of any special instructions for delivery
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of TBWBHL.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
